WAYNE ALBERT DAVIS D.O.
NPI 1063610293
Family Medicine in Phoenix, AZ

Q: What is Wayne Davis's NPI number?

The NPI number for Wayne Davis is 1063610293. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Q: What is Wayne Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Davis was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment

4131 N 24TH ST STE B102, PHOENIX, AZ 85016(480) 882-4545(602) 903-7091 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Wayne Albert Davis D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE ALBERT DAVIS D.O. (NPI 1063610293) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (4825) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2006).

NPPES Registry Identity

NPI1063610293

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameWAYNE ALBERT DAVISCredential: D.O.

Location Address4131 N 24TH ST STE B102Phoenix, AZ 85016-6231

Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545

Phone(480) 882-4545

Fax(602) 903-7091

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2006

Enumeration DateJuly 10, 2007

Last NPPES UpdateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1063610293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 4825

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4131 N 24TH ST STE B102, Phoenix, AZ 85016

Open in Google Maps ↗

Other Identifiers 1

Medicaid484673AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wayne Albert Davis D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830225499

PECOS Enrollment IDI20100407000514

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLESHAUN A DUBOSE LAC

Counselor (Professional)